| Tad W Westdale, PA-C | |
|
1718 E Kessler Blvd, Longview, WA 98632-1842 | |
| (360) 747-5800 | |
| (360) 575-3846 |
| Full Name | Tad W Westdale |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 1718 E Kessler Blvd, Longview, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639407109 | NPI | - | NPPES |
| P00844161 | Other | WA | RAILROAD MEDICARE |
| 8561748 | Medicaid | WA | |
| 0255166 | Other | WA | LABOR & INDUSTRIES / CRIME VICTIMS |
| 500618673 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA60115702 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 5890689293 | 182 |
| Mailing Address | Practice Location Address |
|---|---|
| Tad W Westdale, PA-C Po Box 3002, Longview, WA 98632-0302 Ph: (360) 747-5800 | Tad W Westdale, PA-C 1718 E Kessler Blvd, Longview, WA 98632-1842 Ph: (360) 747-5800 |
David L Oliver, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1706 Washington Way, Longview, WA 98632 Phone: 360-423-9580 Fax: 360-423-6230 | |
Jesse R Shaffer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Matthew Johnson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Nicholas E Austin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1706 Washington Way, Longview, WA 98632 Phone: 360-423-0390 Fax: 360-577-3865 | |
Eric Pascual, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 921 14th Avenue, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-423-5086 | |
Dwight Christian Tan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Ellie Renae Wells, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400 |